Individual
DIANE HEATHER WINN-CLOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPC
Contact information
Practice address
2516 CONSTITUTION AVE, FORT COLLINS, CO 80526-1610
(970) 412-8562
Mailing address
5976 DUNRAVEN CT, GOLDEN, CO 80403-2041
(970) 412-8562
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3480
CO
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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